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General NPI Number Information
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NPI Number | 1013263250
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Entity Type | Individual
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Provider Name | ESSI I PEERS D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 5665 NEW NORTHSIDE DR STE 200
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City | ATLANTA
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State | GA
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Zip | 30328-4617
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Country | US
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Telephone | 770-874-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 HOWELL MILL RD NW
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City | ATLANTA
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State | GA
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Zip | 30318-1633
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Country | US
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Telephone | 770-365-1153
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101020077
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License Number State | MI
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